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Individual

AMANDA LEE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP FNP

Contact information

Practice address
23 E CRAWFORD ST, DEER PARK, WA 99006-5432
(509) 485-4663
(509) 399-7883
Mailing address
PO BOX 317, ELK, WA 99009-0317
(509) 435-1203

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61258993
WA
363LF0000X
Family Nurse Practitioner
F12210889
WA

Other

Enumeration date
12/30/2021
Last updated
03/04/2022
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